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ARCHBOLD HOME DIALYSIS SERVICES
NPI 1316997760
Durable Medical Equipment & Medical Supplies - Dialysis Equipment & Supplies in Thomasville, GA

Active since May 10, 2006CLIA 11D2260453 · Waiver
112 MIMOSA DR, THOMASVILLE, GA 31792(229) 228-2783(229) 551-8732 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Archbold Home Dialysis Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARCHBOLD HOME DIALYSIS SERVICES (NPI 1316997760) is a healthcare organization registered as a dialysis equipment & supplies in Thomasville, Georgia and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through May 18, 2028 and lists William Clay Campbell, Exec. Vice President, as its authorized official.

NPPES Registry Identity

NPI1316997760
Entity TypeOrganization
Primary Taxonomy332BD1200X
Legal Business NameARCHBOLD HEALTH SERVICES, INC.
Location Address112 MIMOSA DRThomasville, GA 31792-6605
Mailing AddressPo Box 620Thomasville, GA 31799-0620 · (229) 228-2783 · Fax (229) 551-8732
Phone(229) 228-2783
Fax(229) 551-8732
Organization SubpartNo
Authorized OfficialWilliam Clay CampbellExec. Vice President · (229) 228-2200
Enumeration DateMay 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1316997760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Dialysis Equipment & SuppliesSuppliers
Taxonomy Code332BD1200X
License✔ Licensed in GA · ESRD001121
112 MIMOSA DR, Thomasville, GA 31792
Open in Google Maps ↗

Other Names 1

Doing Business AsArchbold Home Dialysis Services

Other Identifiers 1

Medicaid00367881AGA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2260453

Lhcg Ccxxii, LLC Dba Archbold Home Health Services · Thomasville, GA
Active · expires May 18, 2028
CLIA Number11D2260453
Laboratory TypeHome Health Agency
Certificate Effective DateMay 19, 2026
Certificate Expiration DateMay 18, 2028
Laboratory DirectorTaylor Howell
Laboratory Phone(229) 228-2200
Laboratory LocationLhcg Ccxxii, LLC Dba Archbold Home Health Services400 Old Albany Road, Thomasville, GA 31792
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN F DEUTSCH N.P.
Nurse Practitioner (Family)
112 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 227-0045
LOUIS G LEE M.D.
Internal Medicine (Gastroenterology)
112 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 227-0045
RONALD LINDQUIST P.A.
Physician Assistant (Medical)
112 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 227-0045
JESSICA BROWN NP
Nurse Practitioner (Family)
112 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 227-0045
DIGESTIVE DISEASE CENTER OF SOUTH GEORGIA, PC
Specialist
112 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 227-0045
DR. SCOTT D FARQUHAR M.D.
Internal Medicine (Gastroenterology)
112 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 227-0045
BRITTNEY MICHELLE WILLIAMS NP
Nurse Practitioner (Family)
112 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 584-5590
DR. AYMEN YOUSUF BUKANNAN MD
Internal Medicine (Gastroenterology)
112 MIMOSA DR
THOMASVILLE, GA 31792
Thomas County (229) 227-0045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Archbold Health Services, Inc.'s NPI number?

The NPI number for Archbold Health Services, Inc. is 1316997760. It was assigned to this organization in the NPPES registry on May 10, 2006. The provider is doing business as Archbold Home Dialysis Services.

Where is Archbold Health Services, Inc. located?

Archbold Health Services, Inc. is located at 112 Mimosa Dr, Thomasville, GA 31792. The listed phone number is (229) 228-2783.

What is Archbold Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Dialysis Equipment & Supplies, with taxonomy code 332BD1200X.

Does Archbold Health Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2260453) is associated with this NPI, valid through May 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Archbold Health Services, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.